WALROSS JIM BASIT

LINCOLN, NE
NPI1699123976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  110041)
Enumeration Date2016-05-27
Last Update Date2016-05-27
Business Address
-- WALROSS JIM BASIT CRNA
4544 BANCROFT AVE APT 4
LINCOLN, NE 68506-4272
Phone number: 817-454-3018
Mailing Address
-- WALROSS JIM BASIT CRNA
4544 BANCROFT AVE APT 4
LINCOLN, NE 68506-4272
Phone number: 817-454-3018
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